Overview
- Inquest at Limerick Coroner’s Court concluded with a narrative verdict rather than natural causes or medical misadventure.
- Pathologist said Ms Cusack died of cardiorespiratory failure due to neutrophilic myocarditis, describing the condition as very rare.
- Clinicians testified that sepsis was suspected on the morning of 17 February but broad‑spectrum antibiotics were not administered until about 4pm, breaching HSE one‑hour guidance.
- Consultant cardiologist stated only benzylpenicillin, a narrow‑spectrum antibiotic, was initially given and acknowledged the lapse.
- The coroner noted the infection source was never identified, and the family’s solicitor signaled plans to pursue civil proceedings.